| NPI | 1437879541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CARTER Credentialing Manager 859-737-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |